2022
DOI: 10.3390/jcm11237083
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External Validation of the American College of Surgeons Surgical Risk Calculator in Elderly Patients Undergoing General Surgery Operations

Abstract: Preoperative risk stratification in the elderly surgical patient is an essential part of contemporary perioperative care and can be done with the use of the American College of Surgeons Surgical Risk Calculator (ACS-SRC). However, data on the generalizability of the ACS-SRC in the elderly is scarce. In this study, we report an external validation of the ACS-RC in a geriatric cohort. A retrospective analysis of a prospectively maintained database was performed including patients aged > 65 who underwent gener… Show more

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Cited by 4 publications
(3 citation statements)
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“…In addition, although the correlation coefficient ( r ) of 0.53 indicates moderate overall linear correlation, 35 the agreement interval in the Bland–Altman plot is too wide, indicating considerable discrepancy and a low degree of agreement 27,36 . This supports the finding from the external validation study from Greece 7 …”
Section: Discussionsupporting
confidence: 76%
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“…In addition, although the correlation coefficient ( r ) of 0.53 indicates moderate overall linear correlation, 35 the agreement interval in the Bland–Altman plot is too wide, indicating considerable discrepancy and a low degree of agreement 27,36 . This supports the finding from the external validation study from Greece 7 …”
Section: Discussionsupporting
confidence: 76%
“…[3][4][5] These estimates can be useful, not only for perioperative physicians in the decision-making process, but also for patients and their families as part of informed consent and shared decision-making in their perioperative journey. 6 A number of studies have been undertaken to investigate the validity of the NSQIP calculator outside North America, such as in Greece (which found satisfactory predictive ability-except for Length of Stay-in 471 elderly patients undergoing general surgery) 7 and South Korea (which found low predictive ability in 207 patients with gastric cancer undergoing laparoscopic gastrectomy). 8 The published studies in the Australian context are generally in smaller study populations and with varied results.…”
Section: Introductionmentioning
confidence: 99%
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